IDA MAE PARKS - Registered Nurse License in Illinois | # 043013012

IDA MAE PARKS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013012

License Status

NOT RENEWED

Business

N

First Name

IDA MAE

Last Name

PARKS

Business Name

IDA MAE PARKS

Original Issue Date

12/17/1964

Effective Date

11/03/2006

Expiration Date

01/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

03/17/2009